RN-Case Manager
Job ID: 33081
Job Category: Nurse RN
Work Type: Full Time
Work Schedule: Weekend Days
Department: Case Management Administration
Facility: BMH Carroll County Hospital
Location: Huntingdon, TN
Overview
Job Summary
Case Managers will systems, science, incentives, and information to improve healthcare practice and assist patients and their support systems to be engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively. The case manager's objective is to achieve an optimal level of wellness for patients and improve coordination of care while providing cost effective, non-duplicative services. Performs all other duties as assigned.
Responsibilities
Assess and document the clinical, psychosocial and financial needs of patients including availability of care support, risk for readmission and safe environment upon discharge/transition and payor benefits. Findings are collected by interviewing patients, caregivers and members of the interdisciplinary team. Aspects of this assessment obtained from the patient record or previous case manager assessment are validated, updated and influence the plan of care. Assess and document the patient's care management and potential discharge needs. 20 %
InterQual to determine/validate Level of Service and Intensity of Care. Utilize InterQual criteria within the first 24 hours of arrival toplete an initial review. Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. Coordinate with bed control to attain proper placement. Perform concurrent reviews of medical records to ensure continued appropriateness and make rmendations based on the needs of the patient. Escalate and facilitate resolution of unjustifiable aspects of care that vary from InterQual guidelines. 20 %
With the physician, identify the plan of care, estimated length of stay and transition/discharge plan. Meet with patients and families to engage them in the plan and obtain agreement. Incorporate all processes and procedures into the plan to ensure safe discharge/transition. Coordinate with physician and nurse to make plan adjustments as patient condition indicates. Use best practices and available pathways to anticipate the course of care through discharge/transition. Incorporate ancillary services as needed. Work in collaboration with social work forplex postacute placement andmunity service resources. 20 %
In coordination with nursing, ancillary departments, social work, and the physician, monitor and ensure the treatment plan and steps to prepare for transition or discharge arepleted as planned, gaps in care are avoided as well as duplicative or unnecessary services. 10 %
Ensure that patients are discharged/transitioned timely and appropriately and that variances from the plan or target discharge/transition date are documented. 10 %
Escalate concerns and barriers to appropriate treatment or transition as outlined by the department. 10 %
Maintain a working knowledge of facilities and resources available to patients and caregivers. 10 %
Specifications
Experience
Minimum Required
3 years Healthcare/Medical-Acute Care Required.
Preferred/Desired
Healthcare/Medical-Case Manager Preferred, or Healthcare/Medical - Utilization Review Preferred.
Education
Minimum Required
Graduate of School of Nursing-Accredited Required.
Preferred/Desired
Bachelor's Degree Nursing Preferred, or Bachelor's Degree Allied Health Preferred.
Training
Minimum Required
Preferred/Desired
Special Skills
Minimum Required
Must be able to work with acutely & chronically ill patients of all ages and their caregivers. Must have excellent interpersonalmunication, multi-tasking, prioritizing &anizational skills. Demonstrated ability to work effectively with teams in a collaborative manner and escalate issues appropriately. Ability to work weekends and flexible hours per the department staffing plan.
Preferred/Desired
Licensure
Minimum Required
License/Certification/Registries (valid for the State of MS): Registered Nurse (RN) by the State Board of Nursing Required.
Preferred/Desired
Certification by the Case Management Society of America Preferred, or Equivalent Certification Preferred.
Job ID: 33081
Job Category: Nurse RN
Work Type: Full Time
Work Schedule: Weekend Days
Department: Case Management Administration
Facility: BMH Carroll County Hospital
Location: Huntingdon, TN
Overview
Job Summary
Case Managers will systems, science, incentives, and information to improve healthcare practice and assist patients and their support systems to be engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively. The case manager's objective is to achieve an optimal level of wellness for patients and improve coordination of care while providing cost effective, non-duplicative services. Performs all other duties as assigned.
Responsibilities
Assess and document the clinical, psychosocial and financial needs of patients including availability of care support, risk for readmission and safe environment upon discharge/transition and payor benefits. Findings are collected by interviewing patients, caregivers and members of the interdisciplinary team. Aspects of this assessment obtained from the patient record or previous case manager assessment are validated, updated and influence the plan of care. Assess and document the patient's care management and potential discharge needs. 20 %
InterQual to determine/validate Level of Service and Intensity of Care. Utilize InterQual criteria within the first 24 hours of arrival toplete an initial review. Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. Coordinate with bed control to attain proper placement. Perform concurrent reviews of medical records to ensure continued appropriateness and make rmendations based on the needs of the patient. Escalate and facilitate resolution of unjustifiable aspects of care that vary from InterQual guidelines. 20 %
With the physician, identify the plan of care, estimated length of stay and transition/discharge plan. Meet with patients and families to engage them in the plan and obtain agreement. Incorporate all processes and procedures into the plan to ensure safe discharge/transition. Coordinate with physician and nurse to make plan adjustments as patient condition indicates. Use best practices and available pathways to anticipate the course of care through discharge/transition. Incorporate ancillary services as needed. Work in collaboration with social work forplex postacute placement andmunity service resources. 20 %
In coordination with nursing, ancillary departments, social work, and the physician, monitor and ensure the treatment plan and steps to prepare for transition or discharge arepleted as planned, gaps in care are avoided as well as duplicative or unnecessary services. 10 %
Ensure that patients are discharged/transitioned timely and appropriately and that variances from the plan or target discharge/transition date are documented. 10 %
Escalate concerns and barriers to appropriate treatment or transition as outlined by the department. 10 %
Maintain a working knowledge of facilities and resources available to patients and caregivers. 10 %
Specifications
Experience
Minimum Required
3 years Healthcare/Medical-Acute Care Required.
Preferred/Desired
Healthcare/Medical-Case Manager Preferred, or Healthcare/Medical - Utilization Review Preferred.
Education
Minimum Required
Graduate of School of Nursing-Accredited Required.
Preferred/Desired
Bachelor's Degree Nursing Preferred, or Bachelor's Degree Allied Health Preferred.
Training
Minimum Required
Preferred/Desired
Special Skills
Minimum Required
Must be able to work with acutely & chronically ill patients of all ages and their caregivers. Must have excellent interpersonalmunication, multi-tasking, prioritizing &anizational skills. Demonstrated ability to work effectively with teams in a collaborative manner and escalate issues appropriately. Ability to work weekends and flexible hours per the department staffing plan.
Preferred/Desired
Licensure
Minimum Required
License/Certification/Registries (valid for the State of MS): Registered Nurse (RN) by the State Board of Nursing Required.
Preferred/Desired
Certification by the Case Management Society of America Preferred, or Equivalent Certification Preferred.
Job ID: 483017771
Originally Posted on: 6/27/2025
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